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General NPI Number Information
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NPI Number | 1205057957
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Entity Type | Individual
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Provider Name | SONAL SUJIT MEHR MD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 2714 UNION AVENUE EXT STE 150
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City | MEMPHIS
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State | TN
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Zip | 38112-4431
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Country | US
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Telephone | 901-725-0872
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Fax | 901-278-6934
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Provider Business Mailing Address
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Address Line | PO BOX 746725
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City | ATLANTA
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State | GA
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Zip | 30374-6725
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Country | US
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Telephone | 312-733-9730
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Fax | 312-929-0373
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 44532
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License Number State | TN
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